# M & B INTERNAL MEDICINE GROUP P S C

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003953621
- **Authorized official:** DR. CARRIE C BACO BROGNIEZ MD (PROPIETARIA)
- **Authorized official phone:** (787) 834-6825

## Contact information

- **Practice address:** 16 NORTE PERAL, 1 A EDIFICIO TORRE PERAL, MAYAGUEZ, PR 00680-0000
- **Practice address phone:** (787) 834-6825
- **Practice address fax:** (787) 834-6865
- **Mailing address:** PO BOX 1478, MAYAGUEZ, PR 00681-1478
- **Mailing address phone:** (787) 834-6825
- **Mailing address fax:** (787) 834-6865

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/31/2007
- **Last updated:** 06/25/2008
